You should always consult with your healthcare provider before
introducing any changes to your diet or level of physical activity.

Q and Me References

All About Carbohydrates

Brownell KD. Lesson Nine. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:141-154.

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Carbohydrates: MedlinePlus Medical Encyclopedia. MedlinePlus Web site. http://www.nlm.nih.gov/medlineplus/ency/article/002469.htm. Accessed January 24, 2012.

All About Cholesterol

Brownell KD. Lesson Nine. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:141-154.

All About Fat

American Heart Association. Meet the Fats. Dallas, TX: American Heart Association; 2009.

Brownell KD. Lesson Six. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:83-102.

US Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th ed. Washington, DC: U.S. Government Printing Office; 2010.

All About Fiber

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Diverticulitis. PubMed Health Web Site. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001303. Accessed January 20, 2012.

All About Fruit

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Centers for Disease Control and Prevention. Rethink Your Drink. Atlanta, GA: Centers for Disease Control and Prevention; 2011.

How much fruit is needed daily? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/fruits-amount.html#. Accessed February 21, 2012.

US Department of Agriculture, Food and Nutrition Service. Nibbles For Heath 20: Juice or Fruit Drinks? Washington, DC: US Department of Agriculture, Food and Nutrition Service; 2008.

What counts as a cup of fruit? United States Department of Agriculture Web site. http://www.choosemyplate.gov/foodgroups/fruits_counts_table.html. Accessed January 24, 2012.

All About Grains

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

What Does Your My Plate Look Like? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/grains.html. Accessed February 10, 2012.

Whole grains: Hearty options for a healthy diet. Mayo Clinic Web site. http://www.mayoclinic.com/health/whole-grains/NU00204. Accessed January 20, 2012.

All About Milk, Yogurt, and Cheese

Brownell KD. Lesson Seven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:103-118.

How much food from the Dairy Group is needed daily? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/dairy-amount.html. Accessed February 21, 2012.

What counts as 1 cup in the Dairy Group? United States Department of Agriculture Web site. http://www.choosemyplate.gov/foodgroups/dairy_counts_table.html. Accessed February 10, 2012.

What foods are included in the Dairy Group? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/dairy.html. Accessed February 15, 2012.

All About Protein

Brownell KD. Lesson Eight. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:119-140.

Food Groups—Vegetarian choices in the Protein Foods Group. United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/vegetarian.html. Accessed February 6, 2012.

How much food from the Protein Foods Group is needed daily? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/protein-foods-amount.html#. Accessed February 6, 2012.

What counts as an ounce equivalent in the Protein Foods Group? United States Department of Agriculture Web site. http://www.choosemyplate.gov/foodgroups/proteinfoods_counts_ table.html. Accessed February 6, 2012.

All About Salt

US Department of Agriculture, Center for Nutrition Policy and Promotion. Salt and Sodium. Washington, DC: US Department of Agriculture; 2011.

US Department of Health and Human Services. Your Guide to Lowering Your Blood Pressure With DASH. Washington, DC: US Department of Health and Human Services; 2006.

Zeratsky K. Monosodium glutamate (MSG): Is it harmful? Mayo Clinic Website. http://www.mayoclinic.com/health/monosodium-glutamate/AN01251. Accessed January 30, 2012.

All About Vegetables

Brownell KD. Lesson Nine. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:141-154.

Food Groups—How many vegetables are needed daily or weekly? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/vegetables-amount.html#. Accessed February 17, 2012.

What foods are in the vegetable group? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/vegetables.html. Accessed February 6, 2012.

Are Organic Foods Healthier?

Get the Facts about Organic Foods. Cleveland County Cooperative Extension Web site. http://cleveland.ces.ncsu.edu/index.php?page=news&ci=HEAL+4. Accessed February 21, 2012.

Ask Your Healthcare Provider What Physical Activity Program Is Right for You

Brownell KD. Lesson Three. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:37-54.

Barriers to Being Active

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Behavior Basics: Controlling Your Eating

Brownell KD. Lesson Five. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:67-82.

Building Skills and Confidence

Brownell KD. Lesson One. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:11-24.

Brownell KD. Lesson Twelve. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004: 189-208.

Calories in Alcohol

Beer Calories, Beer Alcohol, Beer Carbohydrates. Beer 100 Web site. http://www.beer100.com/beercalories.htm. Accessed January 24, 2012.

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Rethinking Drinking: Alcohol and Your Health. National Institute on Alcohol Abuse and Alcoholism Web site. http://rethinkingdrinking.niaaa.nih.gov/WhatCountsDrink/WhatsAStandardDrink.asp. Accessed January 24, 2012.

Zelman KM. Low-Calorie Cocktails. WebMD Web site. http://www.webmd.com/diet/features/low-calorie-cocktails. Accessed January 24, 2012.

Compulsive Eating and Binge Eating

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Coping with Pressures to Break Your Diet

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Centers for Disease Control and Prevention. Rethink Your Drink. Atlanta, GA: Centers for Disease Control and Prevention; 2011.

Consumer Federation of America. Alcohol Facts. http://www.consumerfed.org/elements/www.consumerfed.org/file/food/CFA_Alcohol_Facts_Poster_FINAL.pdf. Accessed January 27, 2012.

Managing Pressure to Drink. ReachOut.com Web site.  http://au.reachout.com/find/articles/managing-peer-pressure-to-drink. Accessed January 20, 2012.

Rethinking Drinking: Alcohol and Your Health. National Institute on Alcohol Abuse and Alcoholism Web site. http://rethinkingdrinking.niaaa.nih.gov/ToolsResources/DrinkRefusalSkills.asp. Accessed January 24, 2012.

Cravings Versus Hunger

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Eating Less: Portion Control

Brownell KD. Lesson One. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:11-24.

Food and Portion Size. American Diabetes Association Web site. http://www.diabetesarchive.net/food-nutrition-lifestyle/lifestyle-prevention/weight-loss/food-and-portion-size.jsp. Accessed January 19, 2012.

What Foods Are in the Vegetable Group? United States Department of Agriculture Web site. http://www.choosemyplate.gov/food-groups/vegetables.html. Accessed February 3, 2012.

Exercise Options: Resistance Training

Brownell KD. Lesson Eight. In: Brownell KD, et al. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:119-140.

Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423-1434.

Seguin RA, Epping JN, Buchner D, Bloch R, Nelson ME. Strength Training for Older Adults: Growing Stronger. Boston, MA: John Hancock Center for Physical Activity and Nutrition at the Friedman School of Nutrition Science and Policy at Tufts University; 2002.

Exercise Options: Selecting and Starting a Programmed Physical Activity

Brownell KD. Lesson Five. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:67-82.

Brownell KD. Lesson Eight. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:119-140.

Physical Activity for Everyone. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/physicalactivity/everyone/guidelines/adults.html. Accessed February 10, 2012.

Weil R. Aerobic Exercise. eMedicine Health Web site. http://www.emedicinehealth.com/aerobic_exercise/article_em.htm. Accessed January 30, 2012.

Exercise Options: Vigorous Exercise

About Zumba. Zumba Fitness Web site. http://www.zumba.com/about. Accessed January 20, 2012.

Brownell KD. Lesson Six. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:83-102.

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Slide show: Aquatic Exercise How To’s. Mayo Clinic Web site. http://www.mayoclinic.com/health/aquatic-exercise/SM00055. Accessed January 20, 2012.

Stieda A. Stay Safe in Traffic. Bicycling Magazine. June 6, 2010. http://www.bicycling.com/print/5114. Accessed February 10, 2012.

Yeager E. Let’s Get Started. Runners World. May 2010. http://www.runnersworld.com/article/printer/1,7124,s6-238-520--13479-0,00.html. Accessed January 20, 2012.

Food Labels

Brownell KD. Lesson Eight. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:119-140.

US Department of Agriculture, Center for Nutrition Policy and Promotion. Salt and Sodium. Washington, DC: US Department of Agriculture; 2011.

Food Safety

Partnership for Food Safety Education. Chill: BAC Down! Arlington, VA: Partnership for Food Safety Education; 2005.

Partnership for Food Safety Education. Fight BAC! Arlington, VA: Partnership for Food Safety Education; 2004.

Partnership for Food Safety Education. Spring Clean Your Way to a Safer Kitchen. Arlington, VA: Partnership for Food Safety Education; 2010.

Safe Minimum Cooking Temperatures. FoodSafety.gov Web site. http://www.foodsafety.gov/keep/charts/mintemp.html. Accessed January 20, 2012.

Storage Times for Refrigerator and Freezer. FoodSafety.gov Web site. http://www.foodsafety.gov/keep/charts/mintemp.html. Accessed January 24, 2012.

US Department of Agriculture. Be Food Safe. Washington, DC: US Department of Agriculture; 2007.

US Department of Agriculture. Is It Done Yet? Washington, DC: US Department of Agriculture; 2006.

Warner J. Microwave Kills Germs in Sponges. WebMD Web site. http://www.webmd.com/food-recipes/food-poisoning/news/20070124/microwave-kills-germs-sponges. Accessed January 20, 2012.

Getting Started With Walking

Brownell KD. Lesson Three. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:37-54.

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Getting Started With 5- to 10-Minute Walking a Day

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Hydration

Centers for Disease Control and Prevention. Rethink Your Drink. Atlanta, GA: Centers for Disease Control and Prevention; 2011.

Dehydration. Mayo Clinic Web site. http://www.mayoclinic.com/print/dehydration/DS00561/DSECTION=all&METHOD=print. Accessed January 27, 2012.

Preidt R. Athletes Need to Protect Against Heat Stroke: Expert. Bloomberg Business week Web site. http://www.businessweek.com/print/lifestyle/content/healthday/641646.html. Accessed February 21, 2012.

Information to Share With Your Friends and Family

Brownell KD. Lesson Seven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:103-118.

Brownell KD. Lesson Eight. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:119-140.

Introduction to Physical Activity

ACSM, AHA Support Federal Activity Guidelines. American College of Sports Medicine Web site. http://www.acsm.org/about-acsm/media-room/acsm-in-the-news/2011/08/01/acsm-aha-support-federal-physical-activity-guidelines. Accessed February 3, 2012.

At-A-Glance: A Fact Sheet for Professionals. US Department of Health & Human Services Web site. http://www.health.gov/paguidelines/factsheetprof.aspx. Accessed January 20, 2012.

Brownell KD. Lesson Two. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:25-36.

Brownell KD. Lesson Three. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:37-54.

Learning From Your Food Log

Brownell KD. Lesson Two. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:25-36.

Meal Replacements

Leong K. Are Whole Grain Cereals the Best Meal Replacement for Weight Loss? Yahoo! Voices Web site. http://voices.yahoo.com/are-whole-grain-cereals-best-meal-replacement-3093337.html. Accessed January 24, 2012.

Magee E. Choosing a Healthy Breakfast Cereal. WebMD Web site. http://www.webmd.com/food-recipes/features/choosing-healthy-breakfast-cereal. Accessed January 24, 2012.

Zelman K. Meal Replacements: Choose Those Bars and Drinks Carefully. WebMD Web site. http://www.webmd.com/diet/features/meal-replacements-choose-those-bars-and-drinks-carefully. Accessed January 24, 2012.

Physical Activity for Weight Maintenance

Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK; American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41:459-471.

Personal Trainers

National Council on Strength and Fitness Personal Trainer Consumer Advocacy. National Council on Strength and Fitness Web site. http://www.ncsf.org/consumeradvocacy. Accessed January 20, 2012.

Sortal N. Choosing a Personal Trainer. Los Angeles Times. July 22, 2009. latimes.com/sns-health-how-to-pick-personal-trainer,0,6567841.story. Accessed February 10, 2012.

Preventing Lapse, Relapse, and Collapse

Brownell KD. Lesson Twelve. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:189-208.

Progress Is More Than Weight Loss 

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Setting Realistic Goals

Brownell KD. Lesson Seven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:103-118.

Smart Grocery Shopping

Brownell KD. Lesson Seven In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:103-118.

Social Support Can Help You Lose Weight

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Brownell KD. Lesson Five. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:67-82.

Spending Time With Friends and Loved Ones: Fun Activities

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Starting With Small Changes

Brownell KD. Lesson One. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:11-24.

US Department of Agriculture and US Department of Health and Human Services. Dietary Guidelines for Americans, 2010. 7th ed. Washington, DC: US Government Printing Office; 2010.

Strategies to Ensure You Meet Physical Activity Goals

Brownell KD. Lesson Eleven. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Stress and Eating

Brownell KD. Lesson Ten. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:155-172.

Stamos Kovacs J. Blissing Out: 10 Relaxation Techniques to Reduce Stress On-the-Spot. WebMD Web site. http://www.webmd.com/balance/stress-management/features/blissing-out-10-relaxation-techniques-reduce-stress-spot. Accessed January 24, 2012.

Test Your Activity Acumen

American Dietetic Association. Eat Right. Chicago, IL: American Dietetic Association; 2009.

Bouchez C. Top 9 Fitness Myths—Busted! WebMD Web site. http://www.webmd.com/fitness-exercise/features/top-9-fitness-myths-busted. Accessed January 24, 2012.

Brownell KD. Lesson Two. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:25-36.

Brownell KD. Lesson Nine. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:141-154.

Tips for Choosing a Meal When Eating Out

American Dietetic Association. Healthy Eating on the Run: A Month of Tips. Chicago, IL: American Dietetic Association; 2009.

Brownell KD. Lesson Eleven. In: Brownell KD. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:173-188.

Eating Out. American Dietetic Association Web site. http://www.eatright.org/public/content.aspx?id=5671. Accessed January 20, 2012.

Tips for Increasing Lifestyle Activity

Brownell KD. Lesson Six. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:83-102.

Tips for Serving Foods to Help You Eat Less

Brownell KD. Lesson Nine. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:141-154.

Tips to Incrementally Increase Your Walking

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

Brownell KD. Lesson Five. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:67-82.

Walking Your Way to Fitness

Brownell KD. Lesson Three. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:37-54.

Brownell KD. Lesson Five. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:67-82.

Wicking. About.com Web site. http://mensfashion.about.com/od/dressingforyourbodytype/g/Wicking.htm. Accessed January 20, 2012.

What Should I Eat?

Brownell KD. Lesson Two. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:25-36.

Your Daily Calorie Target

Brownell KD. Lesson Two. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:25-36.

Brownell KD. Lesson Four. In: Brownell KD, ed. The LEARN® Program for Weight Management. 10th ed. Dallas, TX: American Health Publishing Company; 2004:55-66.

INDICATION

Qsymia® should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

  • 30 kg/m2 or greater (obese) or
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

Limitations of Use:

  • It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke
  • It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products

It is not known if Qsymia is safe and effective in children under 18 years old

IMPORTANT SAFETY INFORMATION

Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

Qsymia can cause serious side effects, including:

Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant. Women who are pregnant must not take Qsymia. Women who can become pregnant should have a negative pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at 1-800-FDA-1088, and the Qsymia Pregnancy Surveillance Program at 1-888-998-4887.

Increases in heart rate. Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.

Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping (insomnia); new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking (mania); other unusual changes in behavior or mood.

Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma). These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.

Possible side effects of Qsymia include:

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.

Concentration, memory, and speech difficulties. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.

Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry (loss of appetite), feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.

Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.

High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.

Central Nervous System (CNS) side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.

Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.

Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.

Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.

Common side effects of Qsymia include:

Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of taste (dysgeusia); trouble sleeping (insomnia); constipation; and dry mouth.

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects of Qsymia. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Please read the Qsymia Medication Guide and Full Prescribing Information.

The Q and Me Patient Resources and Education site is based on the LEARN® Program provided under copyright license (September 15, 2010). All rights reserved.